# GREATER FLORIDA ANESTHESIOLOGISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760054019
- **Authorized official:** CHRISTOPHER KENNEDY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (207) 807-9009

## Contact information

- **Practice address:** 10080 SW INNOVATION WAY STE 101, PORT ST LUCIE, FL 34987-2129
- **Practice address phone:** (954) 939-5000
- **Practice address fax:** (866) 250-6889
- **Mailing address:** PO BOX 4151, CAROL STREAM, IL 60197-4151
- **Mailing address phone:** (954) 939-5000
- **Mailing address fax:** (866) 250-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2021
- **Last updated:** 09/24/2026